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Using The Activity Barometer (TAB) to assess patient participation in diagnostic consultations

Year: 2022
Type: conference-abstract
Abstract: Background: It is essential for compliance and efficacy of healthcare that patients take an active role in their own care. Patient- or clinician-reported measures of patient participation are associated with recall bias. The Activity Barometer (TAB) was developed to assess patient participation in clinical encounters from a third-person perspective. Aim: Our aim was to apply TAB in hospital-based diagnostic workup with the purpose of 1) assessing patient participation in consultations and 2) testing the interrater agreement of two independent TAB-raters. Methods: Ten patients referred to diagnostic workup of lung cancer at Vejle Hospital were recruited, and their first consultation with the respiratory clinician was audio-recorded. Two independent researchers rated patient participation, using TAB (score guide: Poulsen et al. Eur J Pers Cent Healthc 2017;5:95-101). Independent t tests and correlation analyses were performed to explore subgroup differences and interrater agreement. Results: The average TAB score was 89.8 (SD=95.0). Patients accompanied by a caregiver (n=5) were, on average, less active than non-accompanied patients (55.6 v. 124.0). However, when adding caregiver scores to patient scores, the difference was reduced (107.16 v. 124.0). The results were statistically non-significant (p values=0.279; 0.789). Interrater agreement was acceptable, with a Spearman9s rank correlation coefficient of 0.75. Conclusion: TAB can be applied to assess patient participation in diagnostic workup consultations. Independent ratings and assessment of interrater agreement can be used for reliability testing. Future studies should be aware of the potentially mediating role of caregiver participation.
DOI: 10.1183/13993003.congress-2022.879
Language: English
Open Access status: green
OpenAlex ID: W4313061562
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Cited by: 1
Related to: 10